Individual
MR. JAMES MICHAEL LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 947-3027
Mailing address
450 BRIDGE TREE CT, EVINGTON, VA 24550-4313
(434) 525-4977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-002607
VA
Other
Enumeration date
09/07/2007
Last updated
04/30/2013
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